Test Valley Brass Membership

New/Existing Member *

I am applying to become a new member I am an existing member.
Existing members.
To view, update or edit your details, you need to have arrived here using your personal link sent to the nominated email address when you originally signed up. If you no longer have the link, please email:

membership@testvalleybrass.co.uk

If you arrived here without your own link, continuing will create a duplicate record.
Member's Details
Applicant's Details
First Name *
Surname *
D.O.B. (Required if under 18)

Day Month Year
Date
Age
Today *

Day Month Year
Date
Gender *
Custom Gender
Please tell us how you identify your gender
Address *

Address line 1

Address Line 2

Address Line 3 County

Postcode
Home Phone No:
Phone Number
Member's Mobile No:
Phone Number
Member's E-mail
Parents will be BCC'd on any emails sent to a young person
Parent/Guardian Details

Required for all members under 18.
Parent/Guardian Full Name
Parent/Guardian Mobile Number::
Mobile
Parent/Guardian Email
Emergency Contacts

Please give details of someone we can contact in case of an emergency. (Required for all members).
Same as Parent/Guardian details

Tick to fill
1st Emergency Contact
1st Emerg. Contact Number:
Phone No.
Relationship to Member (1st contact) *
2nd Emergency Contact
2nd Emerg. Contact Number:
Phone No.
Relationship to Member (2nd Contact)

Medical and Personal Notes
Please tell us about any medical conditions, e.g. Asthma, Diabetes, Epilepsy, etc.
We are an inclusive organisation and no information given here will inhibit membership of the band. Whilst you have the right not to disclose such information, sharing will help us to help you and may be useful in case we need to take action in case of emergency.
Notes
Is there anything else you would like to tell us about?

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Member's Details